Special nursing car is maintained to infant PICC
Technical Field
The utility model relates to a medical instrument, in particular to a PICC maintains special nursing car to infant's design.
Background
Central venous catheters (PICCs) are placed via peripheral veins, such as the basilic vein, median cubital vein, and cephalic vein. It has synthesized the advantage of central route and periphery route: the bed side is placed, so that the safety invasion is small, the bed side can be used for a long time, the pain and discomfort of a patient caused by repeated venipuncture can be avoided, blood vessels are protected, a medium-long-term treatment and venous nutrition way is provided for the patient, the limb movement of the patient is not influenced or the body position of the patient is not limited, and the bed side has the characteristics of long-term property, safety and no pain; at present, the method is widely applied to the conditions that long-term intravenous drug therapy is needed, such as antineoplastic drug therapy and biological drug therapy, total parenteral nutrition support, poor peripheral venous vessel condition and the like, provides a painless infusion channel for patients, and relieves the pain of the patients.
In order to keep the smooth and normal use of the PICC and prevent the occurrence of complications such as pipeline blockage and infection, a patient must maintain a catheter for 1-2 times per week, and as the patient who is punctured and placed into a central venous catheter (PICC) through the periphery is generally a seriously ill patient, the maintenance is very important, sterile operation is strictly performed, and the occurrence of the complications is reduced, the site needs to be tidy and clean, and the operation is convenient.
At present, PICC maintenance for infants generally includes operations of directly placing the infant on a treatment vehicle or an existing venipuncture vehicle, and then performing maintenance and dressing change after the infant is restrained by a nurse and a parent. Because the infant is young, its self controllability is poor, is difficult to cooperate, if do not have effectual restraint, its maintenance degree of difficulty can more increase, and current treatment car does not possess the restraint function. In addition, maintenance requires preparation of many materials such as: the tube flushing liquid, the tube sealing liquid, the infusion joint, the central venous catheter nursing kit and the like are required to be placed in a sterile area in the enclosing process, the space of the treatment vehicle is limited, and sometimes after an infant patient is placed, no redundant maintenance articles are placed in the sterile area. If required maintenance articles for use are not prepared completely, or when the infant has the conditions of contact dermatitis, blood seepage at puncture points, liquid seepage and the like, the conventional maintenance bag can not meet the requirements of nurses during maintenance, the nurses need to go back and forth between a treatment room and a ward to take the maintenance articles for use, so that the working efficiency can be reduced, and the sterile environment can be damaged.
In addition, generally, children under the age of five or six are required to be placed on a treatment vehicle for maintenance, in the maintenance process, arms on the side of a treatment tube need to be extended, the treatment vehicle is not specially used for placing the arms, and the maintenance process of the PICC is often influenced due to limited operation space; in addition the height of infant is inconsistent, and to the higher infant of height, its treatment car also can have length and area not enough problem, leads to the unable comfortable PICC of carrying on of infant to maintain, influences the emotion of infant more, increases and maintains the degree of difficulty.
Disclosure of Invention
The utility model discloses not enough according to prior art provides a PICC to infant's design maintains special nursing car, and this nursing car is not only more convenient in the operation, and the nurse is labour saving and time saving also, when improving work efficiency, also makes the vein treatment management more standard, has also richened high-quality nursing service connotation simultaneously, has improved patient satisfaction.
The utility model provides a technical scheme: the utility model provides a special nursing car is maintained to infant PICC, includes vehicle body frame, vehicle body frame bottom be equipped with the support mesa to four angles departments in the bottom surface of supporting the mesa are provided with walking wheel, its characterized in that respectively: the maintenance platform is divided into an upper layer and a lower layer, a first expansion plate and a second expansion plate are respectively arranged on two sides of the upper layer platform in the width direction, a fence is arranged on the outer sides of the first expansion plate and the second expansion plate, a folding plate is arranged on one side in the length direction, and one or more article placing drawers are arranged in the lower layer platform; the article rack is arranged on one side, not provided with the folding plate, of the maintenance platform, the sliding rail with the length equal to or larger than the width of the maintenance platform is arranged on one side, corresponding to the article rack, of the maintenance platform, the bottom of the article rack is correspondingly embedded into the sliding rail through the sliding block and can move in the width direction of the maintenance platform along the sliding rail, and the restraint belts or the restraint belt connecting buckles are arranged on two sides of the maintenance platform.
The utility model discloses better technical scheme: the neck heightening pillow is arranged on one side, close to the article rack, of the table top of the maintenance platform, the radian of the neck heightening pillow is matched with the radian of the neck, and the height of the neck heightening pillow is 4-8 cm.
The utility model discloses better technical scheme: guard rails are arranged on three sides of the supporting table top except the side corresponding to the opening surface of the storage drawer, the height of each guard rail is 1/3-1/2 of the height of the vehicle body frame, a rotatable garbage can support is arranged on one side of the vehicle body frame close to the article rack, and a hook is arranged on the side surface of the vehicle body frame or not.
The utility model discloses better technical scheme: the article rack comprises a height-adjustable support frame, an article placing platform and a lighting lamp, wherein the bottom of the support frame is fixed on a sliding block, the periphery of the article placing platform is provided with a square article placing table with a convex surface, the article placing platform is installed on the support frame through a rotating sleeve, and the lighting lamp is fixed on the top end of the support frame through a universal support.
The utility model discloses better technical scheme: the thickness of an upper layer platform of the maintenance platform is 5-8cm, a telescopic cavity with cavities at two sides is arranged in the upper layer platform, the sum of the widths of the first telescopic plate and the second telescopic plate is equal to or smaller than the plane width of the telescopic cavity, the two telescopic plates are respectively embedded into the telescopic cavity, and the telescopic cavity can be pulled out through the cavities at two sides.
The utility model discloses better technical scheme: the width of the maintenance platform is 30-60cm, the length of the maintenance platform is 60-80cm, the width of a folding plate of the maintenance platform is equal to the width of the maintenance platform, the length of the folding plate is 15-40cm, the folding plate is connected with the side face hinge of the maintenance platform through a plurality of folding hinges, and when the folding plate is turned upwards for 90 degrees, the folding plate and the upper table face of the maintenance platform are arranged on the same plane.
The utility model discloses better technical scheme: a rail supporting platform is arranged on one side of an article rack of the maintenance platform, the width of the rail supporting platform is equal to that of the maintenance platform, the upper table surfaces of the two platforms are on the same plane, and the sliding rail is arranged on the upper table surface of the rail supporting platform.
The utility model discloses better technical scheme: the height of the fence is 10-15cm, and the length of the fence is equal to that of the maintenance platform.
The utility model discloses better technical scheme: and the outer sides of the first expansion plate and the second expansion plate are also provided with restraint belts or restraint belt connecting buckles.
The utility model discloses better technical scheme: the nursing trolley also comprises a sharp instrument box and a stool which are arranged on the supporting table surface.
The utility model has the advantages that:
(1) the left side and the right side of the treatment vehicle are respectively provided with the retractable plate, when the PICC is maintained at home, the retractable plate at the tube placing side can be pulled open to place an arm, the maintenance space is increased as a maintenance operation area, the tail end of the treatment vehicle is provided with the folding plate which can be used for increasing the length of a maintenance platform, and the treatment vehicle is convenient for the children patients with different heights to carry out maintenance treatment;
(2) the pillow is arranged on the head of the platform of the utility model, which can lift the head of the infant patient, make the infant patient more comfortable to lie, and can be used to lift the neck of the infant patient, thus facilitating intravenous injection;
(3) the utility model is provided with the maintenance tool placing platform at the head end of the platform, the platform can slide at the head, and can be convenient for maintenance at any side, and the platform is provided with the angle-adjustable illuminating lamp, so that the medical worker can conveniently work by illuminating under the environment with weak light intensity;
(4) the utility model is provided with the connecting buckles of the restraint belts at the outer sides of the two expansion plates at the two sides of the platform, and the restraint belts can be arranged according to the needs to carry out good restraint on the arms and the body of the children patient, thereby reducing the maintenance difficulty;
(5) the utility model discloses a car body divide into upper and lower two-layer, and its upper platform can place the infant as maintaining the platform, and the lower floor can be used for placing article such as garbage bin, sharp ware box and the special little stool of nurse, separates the maintenance zone of car body, improves the aseptic nature in maintenance space.
The utility model discloses simple structure, convenient to use can carry out PICC to the infant specially and maintain treatment such as puncture, dressing change, can also be used for carrying out operations such as infant's vein puncture, ensure PICC and maintain the effect, increase the simple operation, practice thrift maintenance time, alleviateed nurse's working strength, when improving work efficiency, also make vein treatment management more normal, also richened high-quality nursing service connotation simultaneously, improved patient's satisfaction.
Drawings
Fig. 1 is a schematic structural diagram of the present invention;
FIG. 2 is a schematic structural view of the installation restraint strap of the present invention;
fig. 3 and 4 are schematic diagrams of the extension plates on different sides.
In the figure: the multifunctional garbage can comprises a vehicle body frame, 2 supporting platforms, 3 traveling wheels, 4 maintenance platforms, 5 first expansion plates, 6 second expansion plates, 6-1 fences, 7 folding plates, 8 storage drawers, 9 object racks, 9-1 adjustable supporting frames, 9-2 storage platforms, 9-3 illuminating lamps, 9-4 universal supports, 10 sliding rails, 10-1 supporting platforms, 11 sliding blocks, 12 restraint belts, 13 restraint belt connecting buckles, 14 neck heightening pillows, 15 rotary garbage can supports, 16 hooks, 17 sharp instrument boxes and 18 stools.
Detailed Description
The present invention will be further explained with reference to the drawings and examples. Embodiments are shown in fig. 1 to 4, and the following technical solutions shown in the drawings are specific solutions of the embodiments of the present invention, and are not intended to limit the scope of the claimed invention. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative efforts belong to the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "inner", "outer", "left", "right", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, or orientations or positional relationships that are conventionally placed when the products of the present invention are used, or orientations or positional relationships that are conventionally understood by those skilled in the art, and are merely for convenience of description of the present invention and simplifying the description, but do not indicate or imply that the device or element that is referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and the like are used merely to distinguish one description from another, and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be further noted that, unless explicitly stated or limited otherwise, the terms "disposed" and "connected" are to be interpreted broadly, and for example, "connected" may be a fixed connection, a detachable connection, or an integral connection; can be mechanically or electrically connected; the connection may be direct or indirect via an intermediate medium, and may be a communication between the two elements. The specific meaning of the above terms in the present invention can be understood according to specific situations by those skilled in the art.
An embodiment provides a nursing vehicle special for infant PICC maintenance, as shown in FIG. 1, which comprises a vehicle body frame 1, wherein a supporting table 2 is arranged at the bottom of the vehicle body frame 1, guard rails 2-1 are arranged on three other surfaces of the supporting table 2 except for the surface corresponding to the opening of the storage drawer 8, the height of the guard rails 2-1 is 1/3-1/2 of the height of the vehicle body frame 1, a rotatable garbage can support 15 is arranged on one side of the vehicle body frame 1 close to the article rack 9, the garbage can support 15 is annular, a garbage can be placed in the annular support, and the annular support is sleeved on a circular supporting rod of the vehicle body frame 1 through a rotating sleeve and can rotatably adjust the position of the garbage can. The side of the vehicle body frame 1 is provided with a hook 16 which can be used for hanging some articles. As shown in figure 2, a sharp instrument box 17 and a stool 18 can be placed on the supporting table-board 2, the four corners of the bottom surface of the supporting table-board 2 are respectively provided with a walking wheel 3, the four walking wheels 3 can be set into universal wheels and are provided with brakes, the nursing trolley can turn in any direction and can be locked through the brakes, and the nursing trolley is convenient to move and position.
The nursing trolley special for infant PICC maintenance is characterized in that a maintenance platform 4 is arranged on the top surface of a trolley body frame 1, the maintenance platform 4 is 30-60cm in width and 60-80cm in length, a folding plate 7 is arranged on one side in the length direction, the width of the folding plate 7 is equal to that of the maintenance platform 4, the length of the folding plate is 15-40cm, the folding plate 7 is connected with side faces of the maintenance platform 4 through a plurality of folding hinges and is arranged on the same plane with the upper table face of the maintenance platform 4 when the folding plate 7 is turned upwards for 90 degrees, the length of the maintenance platform 4 is expanded, and feet and legs are arranged when a child with the height exceeding the length of the maintenance platform is used for PICC maintenance. The maintenance platform 4 is divided into an upper layer and a lower layer, the thickness of the upper layer platform is 5-8cm, a telescopic cavity with cavities is formed in each of two sides of the upper layer platform, a first telescopic plate 5 and a second telescopic plate 6 are arranged on each of two sides of the width direction of the upper layer platform respectively, the sum of the widths of the first telescopic plate 5 and the second telescopic plate 6 is equal to or smaller than the plane width of the telescopic cavity, the two telescopic plates are embedded into the telescopic cavities respectively, the telescopic cavities can be drawn out of the telescopic cavities through the cavities on two sides, the first telescopic plates 5 and the second telescopic plates 6 can be drawn and stretched in a sliding rail mode through drawers, the drawing convenience of the telescopic plates can be guaranteed, the supporting effect of the telescopic plates can be guaranteed, and the first telescopic plates 5 and the second telescopic plates 6 are used for supporting arms when PICC maintenance is carried out. The outer sides of the first expansion plate 5 and the second expansion plate 6 are provided with fences 6-1, the height of the fence 6-1 is 10-15cm, the length of the fence 6-1 is equal to that of the maintenance platform 4, and the fence plays a role in protecting the sick children; one or more storage drawers 8 are arranged in the lower platform for placing various maintenance supplies. And 4 both sides at the maintenance platform to and the outside of first expansion plate 5 and second expansion plate 6 is equipped with about band 12 or about band connector link 13 for when carrying out PICC to the restraint of infant, about band 12 or about band connector link 13 every side is equipped with two, can select the restraint as required, about band 12 adopts the mode of magic subsides thread gluing to connect, conveniently adjusts the elasticity.
According to the nursing trolley special for infant PICC maintenance, as shown in FIGS. 1 to 4, an article rack 9 is arranged on one side of a maintenance platform 4 where a folding plate 7 is not arranged, a sliding rail 10 with the length equal to or larger than the width of the maintenance platform 4 is arranged on one side of the maintenance platform 4 corresponding to the article rack 9, the bottom of the article rack 9 is correspondingly embedded into the sliding rail 10 through a sliding block 11, and the article rack can move along the sliding rail 10 in the width direction of the maintenance platform 4. A rail supporting platform 10-1 is arranged on one side of the maintenance platform 4, where the article rack 9 is arranged, the width of the rail supporting platform 10-1 is equal to that of the maintenance platform 4, the upper table surfaces of the two platforms are on the same plane, and the sliding rail 10 is installed on the upper table surface of the rail supporting platform 10-1. The article rack 9 comprises a height-adjustable support frame 9-1, an object placing platform 9-2 and an illuminating lamp 9-3, the bottom of the support frame 9-1 is fixed on a sliding block 11, a square object placing table with a convex surface is arranged on the periphery of the object placing platform 9-2 and is installed on the support frame through a rotating sleeve, the illuminating lamp 9-3 is fixed at the top end of the support frame 9-1 through a universal support 9-4, and the universal support 9-4 can realize three-hundred-sixty-degree adjustment of the illuminating lamp in a mode of adopting a universal base and a metal hose. A neck heightening pillow 14 is arranged on one side of the table top of the maintenance platform 4 close to the article rack 9, the radian of the neck heightening pillow 14 is matched with the radian of the neck, and the height of the neck heightening pillow is equal to the height of the neck heightening pillow for the sick child.
The utility model discloses when carrying out PICC and maintaining, whether will overturn 7 upsets folding plate to the platform coplanar according to infant's high definite, stay a tub arm one side expansion plate with the infant and draw out, then arrange the infant in and maintain on the platform 4, and will stay a tub arm and arrange in on the expansion plate, the restraint of health and the arm of infant is taken place to the rethread, then the position of adjusted article frame 9 and light 9-3, alright maintain with beginning to carry out PICC, place required maintenance articles for use in on object platform 9-2 in its maintenance process, the rubbish article of its maintenance in-process directly is lost in the garbage bin, sharp-pointed utensil is arranged in the sharp-pointed utensil box. In addition, the utility model discloses also can regard as infant's vein puncture's operation platform to use.
The above description is only an embodiment of the present invention, and the above-mentioned embodiment only expresses the present invention, and the description thereof is specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for those skilled in the art, without departing from the spirit of the present invention, several variations and modifications can be made, which are within the scope of the present invention. Therefore, the protection scope of the present invention should be subject to the appended claims.